94-101726 ate} tu
p 3
Q` W o0o g 2
an
iii
Z N � seta
usI- N CC
M N N N
2 Cil i \ a
tu
ILI # # • 1 C
d
WLL•W O <
at 1.1 CC
41 O. it N
It CZ
UJ�= W `
C O
$ ill
ygit
CC W U. H V
• JW
W iv-�
a 0i
2 < 1�Yy
iu
F
i
WoI. a <
In 2 W
0 7 IY!
i u
O V
COo a a
ai LU N }
0 ? M Ili
14 & 8 Q al u,
q xW a O
1Q W �'
W m g_ tI "
I— 1 tOsd- Li 0o
O E
CO t co
1 z
CC 04
Lit
a o RR
W ;• 2
C smilE M l o ili
U. a s o o y
ACC_ C Y
14n _~ 2
mhN rigz
00 06 F
1
>. t O �! 11
3 oO el
a �.�ti.'.ti�. o
JN � NNa • • 2
Q 0 co W !MILI Weli \
O MLL _ 5QZ ~ <u. b. W Wesv yNNW N
JW<<<«<WdN I
O
= WJ du,h
O ` a III
V7 .— �a CC II
i g 6 Y �
i W U§r oc u,
•
- • - •
City of Federal Way •
RECEIVED
APPLICATION FOR BUILDING PERMIT
SEP 021994
CITYBUILDING'DEPT.
WAYL
PT.
PLEASE PRINT APPLICATION#: 19 ??-/ ._ V 04.77—
SITE LOCATION Address 2031 S• 31<,o T H s
Tenant(if known) Lot# Assessor's Tax#
GuG 1 N,A GvG I NA .I TAL IA N Cc 0'9'2104 -9057-05
Building Owner Name Address
Swv 2 T 2" 8 ECSTI1 ems Rms-rA V Q.AN.TS 3o0 120 T N A V E .N E 5 v IT E 200 I
City gp-I -E%/v (state \Iv otik Zip c="I S 005 I Phone 206-4 5S-39 4 8
Nature of Work Rfc;sT,6,0V ca,AN.?
.... ....... .... . .............. .... ................................. ..... .......
APPLICANT
Name(F,M,L)
AOvw.t�tG� SIRE Fk0TC-GTION
Address
(el'738 I44-Tn Ave. NE
City WOoG i'N y 1 L __ State\/A zip98o1 2
Contact Person Day Phone Other Phone Fax
M.arz4C E rzowN 206 - 4e3 -SG E7 z - / 3--5477
BUILDING'CONTRACTOR
Company Name
RA he c —2 N1 N.Y
Address
P,o Box 422G1
City ��`may v StateW,p ZIP' ISOO�I i
Contact Person Phone Fax
828-OS 00
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
ARCFIITECT
Name
N G= Assoc I .ry-
Address
• Ma0C) M I TN Tow :iZ
City rj �'T'I State\e/A. Zip 1$ 0 4
Contact Person Phone 2.. dt'p Fax
CO22-4981
LEGAL DESCRIPTION
S 2., SIT FL, .v
Please Complete Reverse Side
C09452(P,`v 031
�RUCTURE xisting Use r • _ Proposed Use ..
Permit includes: 0 Building • - 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential New 0 Remodel 0 Number of Units_ 0 Deck •
0 Commercial 0 Addition • 0 Garage • 0 Shed 0 Other
Enter 1st Floor<460 f C sq ft 2nd Roar sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation
Zoning I Lot Size Exlsf ng Bldg Valuation $
LENDER::
Name . Address
City State • I Zip
MECHANICAL CONTRACTOR
Contractor Name Address
•
City State Zip
Contact Phone Fax
License# Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR::
Contractor Name .. Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
•
PLUMBING FIXTURE COUNT`
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
.................................................................
.................................................................
Lavatories Washing Machine Drains Total Fixture:Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range . Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous • Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses.
and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim arises out of the reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: Date: